NPI | 1245297811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 34389) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 34389) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-05-06 |