| NPI | 1285016790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-150491) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 7529) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-02-03 |