| NPI | 1265490239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036078688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036078688) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-01-28 |