| NPI | 1487850699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DE C1-0025270) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE C1-0025270) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD D0075112) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MD438069) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: DE C1-0025270) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D0075112) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD438069) | |
| 208VP0000X (Licence: PA MD438069) | |
| 208VP0000X (Licence: MD D0075112) | |
| 208VP0000X (Licence: DE C1-0025270) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD438069) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D0075112) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-06-26 |