| NPI | 1699185249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2019016517) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 274535) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.150024) | |
| 208D00000X General Practice (Licence: MO 2019016517) | |
| 208D00000X General Practice (Licence: IL 036.150024) | |
| 208VP0000X (Licence: IL 036.150024) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2019016517) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-01-10 |