NPI | 1407875065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME93446) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME93446) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2016-11-22 |