| NPI | 1174571392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036088058) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036088058) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-05-09 |