NPI | 1285603043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO 36941) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 36941) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2022-07-21 |