| NPI | 1114311131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PR 22597) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036159131) |
| 207L00000X Anesthesiology (Licence: PR 22597) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036159131) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-07-09 |