| NPI | 1417012634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036087794) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 305100) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-10-17 |