| NPI | 1124091988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036120700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 47634) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2012-06-05 |