| NPI | 1922324201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 78173) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036134703) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2025-07-15 |