| NPI | 1568810612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036176257) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 55594) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2025-10-15 |