| NPI | 1609217371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036143708) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 71927) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-10-24 |