NPI | 1629211032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DE C1-0012348) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 269847) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2018-04-03 |