| NPI | 1881640704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A43726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036066310) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036066310) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-04-04 |