NPI | 1891783072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 021149) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 021149) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2024-01-11 |