NPI | 1760590640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD433281) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA FR1748651) |
207LP2900X Anesthesiology, Pain Medicine (Licence: PA 433281) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA 433281) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2024-06-11 |