| NPI | 1861997546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125072158) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036161708) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-01-20 |