NPI | 1881629764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35.078406) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 041624) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-09-11 |