NPI | 1427477462 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS020144) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS020144) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2024-04-25 |