| NPI | 1841636065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301112829) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-063218) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2025-02-07 |