| NPI | 1770965394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036.152709) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.152709) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-05-28 |