NPI | 1760438642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2007017247) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2007017247) |
207L00000X Anesthesiology (Licence: NV 15564) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: NV 15564) | |
207LA0401X Anesthesiology, Addiction Medicine (Licence: MO 2007017247) | |
207LA0401X Anesthesiology, Addiction Medicine (Licence: NV 15564) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: NV 15564) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 15564) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2023-10-09 |