NPI | 1154506376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME107723) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107723) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2023-04-24 |