| NPI | 1225487663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036156090) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024034940) |
| 207R00000X Internal Medicine (Licence: KS 94-09014) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-09-18 |