| NPI | 1083371983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125079290) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IL 001115054) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2025-02-19 |