NPI | 1811917396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A54188) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A54188) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2025-05-15 |