| NPI | 1477057974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036166015) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS19155) |
| 207L00000X Anesthesiology (Licence: WI 81811-21) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-04-20 |