| NPI | 1407048093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036115501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 2709-321) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036115501) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2025-01-06 |