| NPI | 1326091133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036081726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 336044061) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036081726) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-12-20 |