NPI | 1447300520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS006836L) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS006836L) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-31 |