| NPI | 1124531819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.164471) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PR 22699) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-07-05 |