NPI | 1457395832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA MD.025590) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 025990) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2023-08-23 |