| NPI | 1295303022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125079174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021020070) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-06-13 |