| NPI | 1689866717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036114444) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD27711) |
| 207L00000X Anesthesiology (Licence: IL 036114444) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2025-06-05 |