NPI | 1841345808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AL DO459) |
Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: AL DO459) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2012-10-12 |