NPI | 1679576813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: SC 19839) |
Additional Taxonomies | 174400000X Specialist (Licence: SC 19839) |
207L00000X Anesthesiology (Licence: SC 19839) | |
207LP2900X Anesthesiology Pain Medicine (Licence: SC 19839) | |
246ZG1000X Specialist/Technologist, Other Geneticist, Medical (PhD) | |
Enumeration Date | 2005-05-23 |
Last Update Date | 2022-11-18 |