| NPI | 1073593315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AK 999) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK 999) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AK 999) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2013-10-17 |