NPI | 1366524076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO R4N50) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO R4N50) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2009-09-15 |