| NPI | 1720549884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.075158) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 185895) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2026-04-14 |