NPI | 1275845588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301097093) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301097093) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2015-10-22 |