| NPI | 1952361735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.19927) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL AL19927) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-05-06 |