| NPI | 1144855305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: IL 036-170099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.077911) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2026-08-28 |