NPI | 1154733285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5101024603) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101024603) |
Enumeration Date | 2014-05-23 |
Last Update Date | 2019-08-01 |