| NPI | 1285706754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-113149) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-113149) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-04-21 |