| NPI | 1902095797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301102556) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125047306) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2025-09-17 |