NPI | 1861613291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 15597R) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 15597R) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-07-31 |