| NPI | 1700817400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 336074382) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036112404) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-10-08 |