| NPI | 1144338286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NE 24529) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-112826) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-112826) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036-112826) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-112826) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NE 24529) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2009-01-29 |