| NPI | 1922505387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS20395) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-173701) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL OS20395) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-04-14 |