| NPI | 1730684267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD61417375) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61417375) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61417375) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-09-18 |