| NPI | 1669913836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036156230) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 78147) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-09-27 |