NPI | 1134454226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A13199) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A13199) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2025-05-23 |