NPI | 1245694256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 313085) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 313085) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-10-31 |