NPI | 1871595124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX E9343) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX E9343) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2012-01-27 |