| NPI | 1104007533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036120453) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: IL 036120453) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2020-10-16 |