| NPI | 1851421051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 28001) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 28001) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 28001) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-12-06 |