| NPI | 1699189928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036149291) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2014017163) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2022-01-03 |