| NPI | 1073769147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036127880) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036127880) |
| 207L00000X Anesthesiology (Licence: IL 125050868) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2021-12-27 |