NPI | 1255309084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L6762) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L6762) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX L6762) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2021-06-14 |