NPI | 1508809492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ME 016287) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME 016287) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2023-01-18 |