| NPI | 1821408725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 80115) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036149789) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2022-07-21 |