NPI | 1538173950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A86646) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 67636) |
207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 67636) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: CA A86646) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A86646) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-06-05 |