NPI | 1871528794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME62362) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME62362) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2013-02-01 |