NPI | 1174751929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD449082) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD449082) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2023-04-18 |