NPI | 1760878177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036171225) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 68565-20) |
208000000X Pediatrics (Licence: WI 68565-20) | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2024-09-11 |