| NPI | 1740800457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4351047006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036177204) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-09-19 |