| NPI | 1790049310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036150607) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2012019882) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036150607) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2023-10-04 |