| NPI | 1073696977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 53805) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301080570) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301080570) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MS 24839) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 53805) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301080570) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 24839) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-04-04 |