| NPI | 1255338554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.077834) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036077834) |
| 207L00000X Anesthesiology (Licence: IL 336.040926) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-07-14 |