| NPI | 1548364714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036078487) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 28967) |
| 208000000X Pediatrics (Licence: KY 28967) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2015-09-22 |