| NPI | 1154585479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-126862) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0443997) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-10-27 |