| NPI | 1720438245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.164765) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.164765) |
| 207T00000X Neurological Surgery (Licence: IA R-10566) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2025-07-29 |