| NPI | 1619960424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.117767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 31400) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-12-10 |