NPI | 1609024371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX N0930) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N0930) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX N0930) | |
Enumeration Date | 2008-09-05 |
Last Update Date | 2023-11-03 |