| 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 |