| NPI | 1629023817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-083677) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036083677) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-06-06 |