| NPI | 1194782243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101268577) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101268577) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D51904) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101268577) | |
| 207L00000X Anesthesiology (Licence: MD D51904) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D51904) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-11-27 |