| NPI | 1104815323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036103962) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01077886A) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036103962) | |
| 207Q00000X Family Medicine (Licence: IL 036103962) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2018-05-11 |