NPI | 1255635405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MI 4301092473) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125057079) |
208VP0000X Pain Medicine Pain Medicine (Licence: MI 4301092473) | |
Enumeration Date | 2011-01-03 |
Last Update Date | 2020-09-14 |