| NPI | 1780840488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 36.121278) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 336.082541) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2010-08-10 |