| NPI | 1902958598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L1643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-174661) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2025-06-26 |