| NPI | 1801832712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-092284) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 33964) |
| 207L00000X Anesthesiology (Licence: CO DR.0033964) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-06-25 |