| NPI | 1629242524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036119963) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-119963) |
| 207R00000X Internal Medicine (Licence: IL 036119963) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036119963) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-04-30 |