| NPI | 1457379976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 36067918) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 36067918) |
| 207R00000X Internal Medicine (Licence: IL 39067918) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-05-16 |