| NPI | 1326012931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 85852) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101226956) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-09-27 |