NPI | 1316057573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 11833) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 11833) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 11833) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-01-16 |