| NPI | 1932300969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 83257) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-174461) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2025-05-02 |