NPI | 1780874909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301090733) |
Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MI 4301090733) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2014-06-10 |