| NPI | 1427674316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.077322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 285001) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-06-09 |