| NPI | 1386271773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.075729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075729) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-06-03 |