| NPI | 1013082551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-078826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036078826) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-08-02 |