| NPI | 1396277406 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.070524) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036151212) | 
| Enumeration Date | 2017-03-28 | 
| Last Update Date | 2025-01-28 |