NPI | 1306224068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AR E10024) |
Additional Taxonomies | 208VP0000X (Licence: AR E-10024) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2025-07-29 |