| NPI | 1457693764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.145481) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 73233) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-03-28 |