| NPI | 1801971775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: IL 036092085) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036092085) | 
| Enumeration Date | 2006-10-26 | 
| Last Update Date | 2025-06-30 |