| NPI | 1306200225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 287639) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 287639) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036148264) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2026-03-24 |