NPI | 1760472708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL MD.14728) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 00014728) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2018-04-10 |