| NPI | 1588015416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036152336) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 336.112625) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-11-08 |