| NPI | 1811175003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036120218) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036120218) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 243341-1) | |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2021-12-14 |