| NPI | 1881155851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 86320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036162352) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-11-04 |