| NPI | 1891734174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0008269) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: DE C1-0008269) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: DE C1-0008269) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-0008269) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-02-19 |