NPI | 1023222577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 231083) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 231083) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 231083) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-12-12 |