NPI | 1174159081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.174880) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT222993) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-05-07 |