| NPI | 1689179301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036153646) |
| Additional Taxonomies | 208VP0000X (Licence: IN 01099365A) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-07-23 |