| NPI | 1760427686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036095958) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01073446A) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036095958) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-07-11 |