| NPI | 1932159910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036117243) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME95391) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01068387A) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-08-21 |