| NPI | 1285615260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J5738) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J5738) |
| 207L00000X Anesthesiology (Licence: TX J5738) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J5738) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-06-03 |