| NPI | 1205998192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036050773) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 18820) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |