| NPI | 1477562163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036107870) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017010204) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2017010204) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-08-12 |