NPI | 1497752760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 20422) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 37851) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2010-12-08 |