| NPI | 1760005268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.169188) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036169188) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-06-27 |