NPI | 1336582881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 60327) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 287120) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NY 287120) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: CT 60327) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: NY 287120) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 60327) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 287120) | |
Enumeration Date | 2013-04-15 |
Last Update Date | 2023-08-07 |