| NPI | 1467712596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.125620) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036125620) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-12-30 |