NPI | 1295395416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX U9968) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 82214) |
208VP0000X Pain Medicine Pain Medicine (Licence: TX U9968) | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2024-08-23 |