NPI | 1427090539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A85179) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A851791) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-03-07 |