| NPI | 1619908373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-111293) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036-111293) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |