NPI | 1841489820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: LA DO.000110) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 110) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2021-01-21 |