| NPI | 1659318962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036136799) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO R7D59) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-02-11 |