NPI | 1215919485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL me103262) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 35429) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 35429) | |
Enumeration Date | 2005-11-15 |
Last Update Date | 2019-08-27 |