| NPI | 1841429156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD450715) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD450715) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD450715) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0011247) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-0011247) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-10-24 |