| NPI | 1578662631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036101550) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A76262) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-03-02 |