| NPI | 1881709137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-100267) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036100267) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-04-27 |