| NPI | 1558551127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 27909) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX BP20028797) |
| 207L00000X Anesthesiology (Licence: AL MD27909) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 27909) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX BP20028797) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL MD27909) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-01-29 |