| NPI | 1093791857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036103846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 106059) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036103846) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2024-02-15 |