| NPI | 1407985047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 36-110617) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-110617) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-05-20 |