| NPI | 1184658049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 11250) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 5802298-1205) |
| 207L00000X Anesthesiology (Licence: CA A89120) | |
| 207L00000X Anesthesiology (Licence: NV 11250) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 5802298-1205) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 11250) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A89120) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A89120) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: UT 5802298-1205) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-04-26 |