| NPI | 1861483976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO MD101216) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036130125) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2026-04-20 |