| NPI | 1407912223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MS 18456) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01059275A) |
| 207L00000X Anesthesiology (Licence: GA 052181) | |
| 207L00000X Anesthesiology (Licence: OH 35082500M) | |
| 207L00000X Anesthesiology (Licence: CA A87740) | |
| 207L00000X Anesthesiology (Licence: VA 0101233699) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: MS PC-00065) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-03-03 |