| NPI | 1134102957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA OS006633L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS006633L) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C20005306) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C20005306) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DE C20005306) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS006633L) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2023-01-29 |