| NPI | 1346259447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036063443) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 22547-20) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-04-03 |