| NPI | 1144348152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301070717) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301070717) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301070717) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301070717) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301070717) | |
| 208D00000X General Practice (Licence: MI 4301070717) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-01-26 |