NPI | 1760776892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 268139) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 268137) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2022-04-15 |