| NPI | 1174029847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-159315) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 81745-21) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-08-20 |