| NPI | 1689940561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036143123) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.061813) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-05-31 |