| NPI | 1346546496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036042826) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036042826) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-04-08 |