| NPI | 1174642474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301087702) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301087702) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301087702) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087702) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-06-02 |