| NPI | 1225007206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301092434) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301092434) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01058148A) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-05-10 |