| NPI | 1033272208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 49592-020) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: WI 49592-020) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-12-27 |