| NPI | 1730335548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A133718) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.054348) |
| 207L00000X Anesthesiology (Licence: IL 036.132665) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.132665) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2016-12-14 |