NPI | 1659678837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A135011) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R1465) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX R1465) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA A135011) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX R1465) | |
207L00000X Anesthesiology (Licence: CA A135011) | |
Enumeration Date | 2011-02-23 |
Last Update Date | 2024-08-30 |