| NPI | 1861655839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036126946) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-054299) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-10-30 |