| NPI | 1154842169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036155842) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 272291) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-03-15 |