| NPI | 1326103540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036109988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60211740) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-05-16 |