| NPI | 1073769287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036128855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036128855) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036128855) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-08-11 |