| NPI | 1104027697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036146948) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006017903) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-08-12 |