| NPI | 1285729988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 67196) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-113765) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-06-29 |