| NPI | 1811564511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036172432) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A25040) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-07-21 |