| NPI | 1770872384 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036139388)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2013021797)  | 
| Enumeration Date | 2011-04-04 | 
| Last Update Date | 2023-03-24 |