| NPI | 1568632693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.125135) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A101988) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2017-05-10 |