| NPI | 1548402407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX P7067) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125053498) |
| 207L00000X Anesthesiology (Licence: TX P7067) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-02-28 |