| NPI | 1134454226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 13199) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL AU3890402) |
| 207L00000X Anesthesiology (Licence: CA 20A13199) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 269503) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2018-01-12 |