| NPI | 1346734142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD477361) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD477361) |
| 207P00000X Emergency Medicine (Licence: PA MT215858) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-10-31 |