| NPI | 1063760023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125062026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125062026) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |