NPI | 1932130143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 015684) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 15684) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2017-02-07 |