NPI | 1225063845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KS 05-20199) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KS 0520199) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2022-06-01 |