| NPI | 1952308256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IA 04732) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-087175) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-087175) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2021-04-16 |