NPI | 1265456925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036105777) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036105777) |
207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036105777) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-10-16 |