| NPI | 1205006277 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.127771) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.127771) | 
| Enumeration Date | 2008-03-06 | 
| Last Update Date | 2014-02-21 |