| NPI | 1831583707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME139174) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-174188) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2025-06-26 |