| NPI | 1952833329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036160827) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 287417) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036160827) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2026-07-20 |