NPI | 1386151199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A147167) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A147167) |
208VP0000X Pain Medicine, Pain Medicine (Licence: CA A147167) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A147167) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2021-09-03 |