| NPI | 1265635445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3169) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-114300) |
| 207L00000X Anesthesiology (Licence: CA A105000) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-114300) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-11-29 |