| NPI | 1912388307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.148517) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036148517) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-07-24 |