| NPI | 1407018757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.128532) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.128532) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2025-06-04 |