NPI | 1437123775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 34623) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 46136) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2020-09-01 |