| NPI | 1134169816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AR e2230) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E2230) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 5515) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E-2230) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-05-16 |