NPI | 1336324193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2009-00660) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 127572) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 127572) | |
Enumeration Date | 2007-12-29 |
Last Update Date | 2020-06-09 |