NPI | 1407916208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G45473) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G45473) |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA G45473) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: CA G45473) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2009-06-04 |