NPI | 1326185869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301081418) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301081418) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MD D64305) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301081418) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301081418) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2019-05-29 |