| NPI | 1750319927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036084229) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01058286A) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |