NPI | 1659398568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A53830) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G53830) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2011-05-10 |