| NPI | 1902468614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.164584) |
| Additional Taxonomies | 208VP0000X (Licence: IL 036164584) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-10-06 |