| NPI | 1942283585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-128867) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 33270-020) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2024-12-13 |