NPI | 1588827646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.130904) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME133007) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2021-09-06 |