| NPI | 1740879030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-162160) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A159977) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2025-08-28 |