| NPI | 1407198286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA MD.207498) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.207498) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.207498) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-04-18 |