| NPI | 1336358829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A123754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.123004) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 63481) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-12-22 |