NPI | 1790078848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 16996) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 16996) |
208600000X Surgery (Licence: PA MT199661) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: NV 16996) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2022-07-21 |