| NPI | 1306265988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036148768) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018013048) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-11-03 |