| NPI | 1225286941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036163013) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C149671) |
| 208600000X Surgery (Licence: IL 125054878) | |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2023-01-16 |