| NPI | 1457635146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036.047687) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036047687) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2024-05-19 |