| NPI | 1891716254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A68754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A68754) |
| 207L00000X Anesthesiology (Licence: IL 036177179) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2026-02-02 |