| NPI | 1285724757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AR E4104) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E4104) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2013001194) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 2013001194) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-06-27 |