| NPI | 1528296118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 003551) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 003551) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 003551) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 35004) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD35004) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 003551) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-12-19 |