| NPI | 1134225790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036086706) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036086706) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-09-25 |