| NPI | 1811240187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036142998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57. 021556) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-12-14 |