NPI | 1326314584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX R3458) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R3458) |
Enumeration Date | 2012-03-31 |
Last Update Date | 2023-06-02 |