NPI | 1275709818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS11266) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS11266) |
208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS11266) | |
Enumeration Date | 2008-05-04 |
Last Update Date | 2024-07-11 |