NPI | 1740244771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 217486-1) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 217486-1) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2024-09-10 |