| NPI | 1114929023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 041-298004) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 209-04039) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-09 |