NPI | 1477795813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME117409) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME117409) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA MD205441) | |
Enumeration Date | 2009-03-31 |
Last Update Date | 2017-10-04 |