| NPI | 1457677197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5315068454) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.131234) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2025-03-12 |