NPI | 1447241021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 3204) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 3204) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2023-07-31 |