| NPI | 1881848240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK MEDS8188) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AK 8188) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 244147) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DC MD039133) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D71331) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2018-04-06 |