| NPI | 1962030239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD219834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036175613) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-07-02 |