| NPI | 1306868898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-081296) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-081296) |
| 208VP0000X (Licence: IL 036-081296) | |
| 207L00000X Anesthesiology (Licence: IL 036-081296) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-09-11 |