| NPI | 1265790182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 77960) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 77960) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2025-06-16 |