| NPI | 1710449913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036176542) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61432523) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2025-09-11 |