| NPI | 1104117423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-138223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 60592) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2026-02-09 |