| NPI | 1447561857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 345041) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO FW2014023581) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2014023581) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q3305) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 345041) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-04-21 |