| NPI | 1083830715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 26782) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 26782) |
| 207L00000X Anesthesiology (Licence: KS 6303) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-03-22 |