NPI | 1003831454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 25607) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 25607) |
207LA0401X Anesthesiology, Addiction Medicine (Licence: AL 25607) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2013-01-12 |