| NPI | 1831686997 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301506463) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036168543) | 
| Enumeration Date | 2018-04-15 | 
| Last Update Date | 2024-09-04 |