| NPI | 1306895644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-107222) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 61888-20) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-12-18 |