| NPI | 1831686997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 111600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301506463) |
| 207L00000X Anesthesiology (Licence: IL 036168543) | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2026-03-21 |