NPI | 1255561510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036116592) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-116592) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2021-04-30 |