| NPI | 1255865119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 82265) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036156141) |
| 207L00000X Anesthesiology (Licence: IL 036.156141) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: WI 82265) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036.156141) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 82265) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-09-26 |