| NPI | 1841449394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.126771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036126771) |
| 208600000X Surgery (Licence: IL 125.053244) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2016-08-29 |