| NPI | 1073596052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 34036-020) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 34036-020) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-04-15 |