| NPI | 1215101704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036127322) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2012-0173) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-02-13 |