| NPI | 1215042049 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036103341) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C174835) | 
| Enumeration Date | 2006-08-20 | 
| Last Update Date | 2024-09-30 |