NPI | 1477525657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A92149) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A92149) |
207L00000X Anesthesiology (Licence: CA A92149) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2016-02-09 |