| NPI | 1114451820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036166742) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036166742) |
| 207L00000X Anesthesiology (Licence: NC 03504) | |
| 207L00000X Anesthesiology (Licence: SC 95606) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 03504) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 95606) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2026-08-12 |