NPI | 1821539297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036.157932) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.157932) |
207Q00000X Family Medicine (Licence: FL OS16040) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036.157932) | |
Enumeration Date | 2017-03-17 |
Last Update Date | 2023-07-06 |