| NPI | 1033370440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2011017825) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011017825) |
| 207L00000X Anesthesiology (Licence: IL 125050884) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2014-04-09 |