NPI | 1174578801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301058720) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301058720) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2014-03-25 |