| NPI | 1942278668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A89885) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200401544) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200401544) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A89885) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-04-05 |