| NPI | 1396935961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0066208) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D0066208) |
| 207L00000X Anesthesiology (Licence: MD D0066208) | |
| 171100000X Acupuncturist (Licence: MD D0066208) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2009-11-02 |