| NPI | 1689656514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 048863) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036158963) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 048863) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-01-28 |