| NPI | 1376124032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.080380) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036172229) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2026-06-26 |