| NPI | 1992941397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A126658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 126658) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 126658) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA 126658) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2018-07-26 |