| NPI | 1306926027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.088163) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036088163) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-03-17 |