NPI | 1851827315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 19874) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 19874) |
Enumeration Date | 2017-05-03 |
Last Update Date | 2024-01-17 |