| NPI | 1033840509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036171087) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.079531) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2025-01-21 |