| NPI | 1477909703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01086201A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 270737) |
| 207R00000X Internal Medicine (Licence: IL 125.069028) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 66702) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-01-07 |