NPI | 1588684724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A65780) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A65780) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2014-03-14 |