NPI | 1073773727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L9787) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX L9787) |
207L00000X Anesthesiology (Licence: TX L9787) | |
Enumeration Date | 2008-06-16 |
Last Update Date | 2024-04-15 |