| NPI | 1154959690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.172513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.172513) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-04-15 |