| NPI | 1891256590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036165940) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 81725-21) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-12-20 |