| NPI | 1396031597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036137484) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011015964) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2022-01-18 |