NPI | 1023245925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036130049) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01074150) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2024-02-09 |