| NPI | 1275586067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036083169) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01069989A) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036083169) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-10-16 |