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 |