| NPI | 1124433230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036146426) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125065178) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-06-01 |