NPI | 1598296931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TX T5835) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T5835) |
208VP0000X Pain Medicine Pain Medicine (Licence: TX T5835) | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2023-10-31 |