| NPI | 1396109062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IL 036171703) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IN 01085754A) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 62650) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: MN 62650) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-10-24 |