NPI | 1104037993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036103185) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036103185) |
207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036103185) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2025-09-12 |