| NPI | 1083023139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 69443) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.167528) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 69443) | |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2024-02-13 |