| NPI | 1598152217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX S5584) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S5584) |
| 207L00000X Anesthesiology (Licence: IL 036.148057) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.148057) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2022-05-14 |