| NPI | 1770718843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 76006) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036.132063) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2026-02-02 |