| NPI | 1629271853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036109557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036109557) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036109557) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036-109557) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-07-14 |