| NPI | 1396731196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.093019) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 113445) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-03-06 |