NPI | 1124017124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036100291) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036100291) |
207Q00000X Family Medicine (Licence: IL 036100291) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2010-07-30 |