| NPI | 1629245709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.124279) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61616246) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-12-16 |