| NPI | 1285856609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA C144558) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 243618) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 043443) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 043443) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 243618) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-09-15 |