| NPI | 1518086560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MI 5101016093) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: MI 5101016093) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: FL OS10746) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MI 5101016093) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-09-06 |