NPI | 1275510570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 30582) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 30582) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2014-06-10 |