| NPI | 1902035785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 53664) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036130842) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2024-10-25 |