| NPI | 1861480055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036091107) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 1879) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-03-18 |