| NPI | 1124086368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD24817) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL TEM-COV19-28913) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA g87132) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD24817) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-01-25 |