| NPI | 1225073646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-092094) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036092094) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036-092094) | |
| 208000000X Pediatrics (Licence: IL 036-092094) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-04-26 |