| NPI | 1225084155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME124951) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01056628A) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01056628A) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-05-18 |