NPI | 1447253976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 203186) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 203186) |
Enumeration Date | 2005-05-30 |
Last Update Date | 2023-08-15 |