NPI | 1922488949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301117477) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301117477) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2025-04-22 |