| NPI | 1740867076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.167471) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.078351) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-06-23 |