| NPI | 1922621408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.169620) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11821) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-07-01 |