| NPI | 1417268392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036134714) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011014919) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2014-07-07 |