NPI | 1679685234 |
---|---|
Former Name | PETRA NOVOTNY-JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-061158) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-061158) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036-061158) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036-061158) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-061158) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-02-26 |