NPI | 1932303534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX M7884) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M7884) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2022-10-18 |