| NPI | 1649620519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.147683) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036.147683) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036.147683) | |
| 207L00000X Anesthesiology (Licence: IL 036.147683) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036.147683) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IL 036.147683) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2025-02-14 |