| NPI | 1316920358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-068971) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD032400E) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD032400E) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2018-11-12 |