| NPI | 1891173076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036155333) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2019024578) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2019024578) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2022-11-02 |