| NPI | 1942476148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.137971) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036.137971) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2016-05-23 |