| NPI | 1114980760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA C52522) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036116929) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA C52522) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2024-05-03 |