| NPI | 1134414618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.136803) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011016799) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-12-03 |