NPI | 1447233895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX R3560) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07567700) |
2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX R3560) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2025-04-30 |