| NPI | 1255073862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125079836) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 125079836) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-02-21 |