| NPI | 1356850127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036165851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036165851) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036165851) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2026-01-27 |