| NPI | 1720375611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: IL 036.137498) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.137498) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2025-09-16 |