NPI | 1487656153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NV 971) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NV 971) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2009-09-23 |