NPI | 1851376446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 79427) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 79427) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2013-04-24 |