| NPI | 1003486390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V6676) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.168587) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036168587) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-03-03 |