NPI | 1225026230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX k3753) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX k3753) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2023-02-28 |