| NPI | 1861508145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 19716) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-092783) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036092783) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2025-02-07 |