NPI | 1407050842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 4805) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5101016644) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 93418) | |
207L00000X Anesthesiology (Licence: TN 4805) | |
207L00000X Anesthesiology (Licence: MI 5101016644) | |
207L00000X Anesthesiology (Licence: GA 93418) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2025-09-18 |