| NPI | 1427047414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME61491) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036086247) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036086247) | |
| 207Q00000X Family Medicine (Licence: IL 036086247) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2012-08-28 |