NPI | 1811953383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A86294) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: CA A86294) |
208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A86294) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2019-11-14 |