| NPI | 1922635697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036162984) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036162984) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036162984) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-08-25 |