NPI | 1043479835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A12144) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A12144) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2018-01-03 |