NPI | 1912137910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX N3887) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX N3887) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2023-12-05 |