| NPI | 1659693901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.120608) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 53742-020) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |