| NPI | 1104310630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036159935) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.072135) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-12-28 |