NPI | 1730193665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9700847) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 9700847) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-07-19 |