NPI | 1619945367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME60443) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL me60443) |
207L00000X Anesthesiology (Licence: FL ME60443) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-03-04 |