| NPI | 1235322363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-114478) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0066382) |
| 207L00000X Anesthesiology (Licence: IL 036-114478) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-05-01 |