| NPI | 1033119607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35068184) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME61480) |
| 207L00000X Anesthesiology (Licence: OH 35068184) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME61480) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2026-05-08 |