| NPI | 1447451539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A9044) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A9044) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-08-17 |