| NPI | 1306861422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 00026717) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD26717) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL MD26717) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-11-23 |