| NPI | 1861843898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-162702) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: CA A174221) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2022-12-16 |