| NPI | 1528257524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME108813) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME108813) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME108813) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME108813) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2023-07-06 |