NPI | 1629243431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 207737) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX P7072) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2024-11-07 |