| NPI | 1396846598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 36111184) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036111184) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 36111184) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 36111184) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 36111184) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-01-30 |