| NPI | 1063442051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036111192) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036111192) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01067810A) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-02-13 |