| NPI | 1912135096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036132674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-056927) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2021-01-18 |