NPI | 1437689494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: KS 0546531) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0546531) |
207L00000X Anesthesiology (Licence: MO 2022030141) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2022030141) | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2024-07-31 |