| NPI | 1649620519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.147683) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016019031) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-12-29 |