NPI | 1508898602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 35474) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 35474) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-03-07 |