| NPI | 1912369257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036132763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125069599) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-04-29 |