| NPI | 1245332543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036118028) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006012205) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-07-16 |