NPI | 1194787838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL me61327) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL me61327) |
207LP2900X Anesthesiology, Pain Medicine (Licence: FL me61327) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL me61327) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2022-07-21 |