| NPI | 1487643169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 5298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.098349) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AK 5298) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2019-02-27 |