NPI | 1497723126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 10423) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 10423) |
208VP0000X Pain Medicine, Pain Medicine (Licence: OK 10423) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2014-12-09 |