NPI | 1033327309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-001253) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD435427) |
207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD435427) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-0012532) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD435427) | |
Enumeration Date | 2007-05-19 |
Last Update Date | 2023-05-04 |