| NPI | 1790338671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD27545) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.075014) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 3013623) | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-05-31 |