| NPI | 1053361121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 33327) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 33327) |
| 207L00000X Anesthesiology (Licence: IL 036-074516) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-074516) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-11-27 |