| NPI | 1932423845 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 3847) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.168032) | 
| Enumeration Date | 2010-03-22 | 
| Last Update Date | 2025-04-03 |