| NPI | 1215464383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036161521) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036161521) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-10-24 |