| NPI | 1427188309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR MD20927) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OR MD20927) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-04-12 |