| NPI | 1861955353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 46096) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036175146) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-07-21 |