| NPI | 1174758163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036133094) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP1 - 0034752) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2014-08-21 |