| NPI | 1336639061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036159292) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125-07090) |
| 207L00000X Anesthesiology (Licence: IL 036159292) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2026-04-22 |