| NPI | 1760418750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 12414) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: NH 12414) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NH 12414) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-10-23 |