NPI | 1336488196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-0026117) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E-14275) |
Enumeration Date | 2013-02-13 |
Last Update Date | 2023-06-23 |