| NPI | 1144482563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2008017156) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2012021728) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036136728) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-11-29 |