NPI | 1083729941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 2006017511) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006017511) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2015-04-26 |