| NPI | 1790848315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-081534) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036-081534) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036-081534) | |
| 208000000X Pediatrics (Licence: IL 036-081534) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-081534) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-04-21 |