| NPI | 1962718007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-40987) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125056241) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IA MD-40987) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2024-02-21 |