| NPI | 1780620864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036100119) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036100119) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036100119) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-12-29 |