| NPI | 1093940611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.130345) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-055883) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-06-24 |