| NPI | 1427002526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A044253) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A044253) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-01-05 |