| NPI | 1912954637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036104479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-3260) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2019-12-05 |