| NPI | 1497704720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 36106947) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 36106947) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-04-05 |