| NPI | 1962840918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036145938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255390) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-11-07 |