| NPI | 1285603043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO 36941) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 36941) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-07-21 |