| NPI | 1063906436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036165460) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036165460) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-09-06 |