NPI | 1861717704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A11892) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11892) |
208M00000X Hospitalist (Licence: CA 20A11892) | |
Enumeration Date | 2010-04-04 |
Last Update Date | 2018-12-27 |