| NPI | 1518451335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 165704) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036165704) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-01-16 |