| NPI | 1164803920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125067226) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A168981) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2021-05-19 |