| NPI | 1841425477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 4887) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.135761) |
| 207L00000X Anesthesiology (Licence: OK 4887) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2021-12-20 |