| NPI | 1760684377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036118798) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036118198) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-06-17 |