NPI | 1427092592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NM A-964-99) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM A-964-99) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2013-07-18 |