| NPI | 1659373637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036105899) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 84206) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-12-16 |