| NPI | 1083906382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036.144684) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD438154) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2018-06-20 |