NPI | 1437612660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX V3128) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX V3128) |
207L00000X Anesthesiology (Licence: UT 13284635-1205) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX V3128) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: UT 13284635-1205) | |
Enumeration Date | 2019-04-14 |
Last Update Date | 2024-08-16 |