| NPI | 1770589053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036124604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 113352) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-04-14 |