| NPI | 1922241124 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036118204)  | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036118204)  | 
| Enumeration Date | 2009-04-17 | 
| Last Update Date | 2023-10-26 |