| NPI | 1588661656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036076877) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-076877) |
| 207T00000X Neurological Surgery (Licence: IL 036076877) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2021-04-23 |