NPI | 1740269612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 00025952) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 00025952) |
207LP2900X Anesthesiology, Pain Medicine (Licence: AL 00025952) | |
Enumeration Date | 2006-01-10 |
Last Update Date | 2017-05-11 |