| NPI | 1225009152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036097780)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 58206)  | 
| Enumeration Date | 2006-01-30 | 
| Last Update Date | 2020-10-14 |