| NPI | 1679672869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036118887) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 227945) |
| 207L00000X Anesthesiology (Licence: IL 036118887) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036118887) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-12-18 |