| NPI | 1598950990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME159083) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME159083) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME159083) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME159083) | |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2024-02-27 |