| NPI | 1033275045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD430071) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE C1-0009379) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: DE C1-0009379) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD430071) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD430071) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-0009379) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DE C1-0009379) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD430071) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-05-19 |