NPI | 1861886426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME155770) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME155770) |
Enumeration Date | 2015-03-22 |
Last Update Date | 2024-09-04 |