| NPI | 1679524094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036119093) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO MDR7H67) |
| 207L00000X Anesthesiology (Licence: IL 036119093) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036119093) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036119093) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-03-07 |