| NPI | 1558319897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036124215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124215) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036124215) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-09-07 |