| NPI | 1225471824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.139835) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125063882) |
| 207L00000X Anesthesiology (Licence: IA MD-44331) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2021-12-23 |