| NPI | 1912903535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 34223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036165846) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2024-01-04 |