| NPI | 1023227154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A9128) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A9128) |
| 207L00000X Anesthesiology (Licence: HI DOS-1366) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A9128) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: HI DOS-1366) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: HI DOS-1366) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-02-19 |