NPI | 1225323785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 50572) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ D01889748) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2019-10-14 |