| NPI | 1760714810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS23678) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0051234) |
| 207L00000X Anesthesiology (Licence: IL 036-121866) | |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2026-07-10 |