| NPI | 1831274356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036145666) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME106536) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-08-08 |