| NPI | 1376950543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036150956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016013487) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2022-01-05 |