| NPI | 1700826203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 10633) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 10633) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NH 10633) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-04-02 |