| NPI | 1962639294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.135551) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 60508) |
| 207L00000X Anesthesiology (Licence: IL 036.135551) | |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2015-07-29 |