| NPI | 1871704072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036124664) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-39811) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2024-05-02 |