NPI | 1285847699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: OH 35.087753) |
Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: PA MD462767) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2019-06-11 |