NPI | 1932155926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036086531) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036086531) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2023-09-05 |