| NPI | 1780882258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036158933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 244511-1) |
| 207L00000X Anesthesiology (Licence: CA A103032) | |
| 207L00000X Anesthesiology (Licence: IN 01100564A) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2026-07-01 |