| NPI | 1821060435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 47877) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A81387) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 47877) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NH RT-2148) | |
| 207L00000X Anesthesiology (Licence: TN MD47877) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-09-23 |