| NPI | 1871765925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD-9108) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-9108) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: HI MD-9108) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: HI MD-9108) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: HI MD-9108) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2020-09-25 |