| NPI | 1174765747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 53873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036129266) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 53873) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 53873) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2019-07-16 |