NPI | 1750543476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX S3137) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD445800) |
207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD445800) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: TX S3137) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2023-02-23 |