NPI | 1295797280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301062688) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301062688) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301062688) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301062688) | |
Enumeration Date | 2006-04-05 |
Last Update Date | 2009-04-17 |