| NPI | 1417308974 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036153723) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-10698) | 
| Enumeration Date | 2016-06-27 | 
| Last Update Date | 2024-09-03 |