| NPI | 1033169982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P9289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 44358) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CO 44358) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO 44358) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-03-20 |