| NPI | 1477651750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.119201) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 35844) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-12-20 |