| NPI | 1871551309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036079924) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 33266) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-05-28 |