NPI | 1013169549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 206570) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.206570) |
207LP2900X Anesthesiology, Pain Medicine (Licence: LA 206570) | |
Enumeration Date | 2008-10-15 |
Last Update Date | 2023-06-19 |