| NPI | 1114916335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036058452) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036058452) |
| 207R00000X Internal Medicine (Licence: IL 036058452) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-08-02 |