| NPI | 1992801492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 02004457A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 182693) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5101020847) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 182693) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 3411255) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-04-01 |