NPI | 1477665420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 000481) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 000481) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-09-27 |