NPI | 1336119171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036049364) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-049364) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2011-12-14 |