| NPI | 1558717553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 6886) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 6886) |
| 207L00000X Anesthesiology (Licence: KS 9408883) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-06-21 |