| NPI | 1790739514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.067394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 336.031605) |
| 207L00000X Anesthesiology (Licence: IL 036067394) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036067394) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-06-30 |