NPI | 1780665828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: LA 020437) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD020437) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2013-07-02 |