| NPI | 1437564804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125-065857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-065857) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2018-12-31 |