| NPI | 1730543331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036152160) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 62641) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2020-06-30 |