NPI | 1033442231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MI 4301064161) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: MI 4301064161) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2012-04-12 |