| NPI | 1700049756 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036129631) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125054894) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-01-12 |