| NPI | 1871173054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125079602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079602) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-06-06 |