| NPI | 1952437345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL MD.37964) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 063179) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.37964) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 063179) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-06-24 |