NPI | 1598811234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 75758) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 75758) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-04-03 |