| NPI | 1942249628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301076787) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036171032) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-01-13 |