| NPI | 1225378912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036158277) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP60765252) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2022-07-21 |