| NPI | 1720493877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036154765) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: KY FK5377355) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY R3525) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036154765) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-04-23 |