NPI | 1225003353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 9601768) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9601768) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2022-04-22 |