NPI | 1497796858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A52751) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A52751) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A52751) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2022-07-21 |