| NPI | 1700314713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178348) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125070056) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A178348) | |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2022-07-20 |