NPI | 1174584148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-23206) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2000160553) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2000160553) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KS 04-23206) | |
Enumeration Date | 2006-03-30 |
Last Update Date | 2013-02-06 |