| NPI | 1043522345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-144176) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A103344) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-04-21 |