| NPI | 1841387115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 026571) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 026571) |
| 207T00000X Neurological Surgery (Licence: GA 026571) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-05-29 |