| NPI | 1104931351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036-066509) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036066509) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036066509) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-066509) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-12-26 |