NPI | 1306802541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A66058) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A66058) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A66058) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2009-03-17 |