| NPI | 1811912306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036084855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 32743) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-05-17 |