| NPI | 1477284917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.170948) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036.170948) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2025-03-04 |