| NPI | 1417914623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036152389) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD060536L) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-10-15 |