NPI | 1457391922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A066092) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A66092) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2021-07-21 |