| NPI | 1225017957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036090677) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036090677) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-05-29 |