| NPI | 1497781488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD483068) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036088768) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036088768) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: IL 036-088768) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01066493A) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-11-13 |