| NPI | 1609834225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036104252) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 2217) |
| 207L00000X Anesthesiology (Licence: IN 01061812A) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036104252) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-07-18 |