| NPI | 1427323864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036139414) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036139414) |
| 207L00000X Anesthesiology (Licence: IL 036139414) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2022-07-21 |