| NPI | 1912469172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY NA) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036172243) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2026-07-10 |