| NPI | 1750947057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.169288) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO6980) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-09-15 |