| NPI | 1336528637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036153171) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.148781) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 125067937) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2025-12-17 |