| NPI | 1063490183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036114669) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 10492) |
| 207L00000X Anesthesiology (Licence: IL 036114669) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-01-10 |