| NPI | 1225250335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL MD.26203) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35089620) |
| 207L00000X Anesthesiology (Licence: AL MD.26203) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35089620) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.26203) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-01-29 |