| NPI | 1730534322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036161161) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 305508) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2026-05-04 |