| NPI | 1184625766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036116762) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 6364) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-05-07 |