| NPI | 1043766538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E-16381) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.069170) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-10-02 |