NPI | 1912467879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.171666) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036171666) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036171666) | |
Enumeration Date | 2019-03-25 |
Last Update Date | 2025-05-05 |