| NPI | 1487677944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MS 29027) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01071396a) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD425768) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 134516) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101240242) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX L4803) | |
| 207L00000X Anesthesiology (Licence: IN 01071396A) | |
| 207L00000X Anesthesiology (Licence: TX L4803) | |
| 207L00000X Anesthesiology (Licence: CA 134516) | |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA 134516) | |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: TX L4803) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 39369) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-08-17 |