| NPI | 1033270996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036099490) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036099490) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036099490) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-07-23 |