| NPI | 1013316769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036172305) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 296525) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2025-02-17 |