| NPI | 1578820528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036148004) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 285233) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 285233) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2023-09-26 |