| NPI | 1730111329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-085915) |
| Additional Taxonomies | 208VP0000X (Licence: IL 036-085915) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-03-28 |