NPI | 1447271366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2006019874) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006019874) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2016-02-08 |