| NPI | 1760646152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A103786) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036151492) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-10-10 |