| NPI | 1821435439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AR E-8824) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E8824) |
| 207Q00000X Family Medicine (Licence: AR E-8824) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2023-12-14 |