| NPI | 1679988521 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036145873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-145873) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2021-10-27 |