NPI | 1730241555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301082161) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301082161) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2023-05-23 |