| NPI | 1396772380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.107905) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301089138) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.107905) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-01-20 |