NPI | 1942413349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK MEDS6555) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A92987) |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA A92987) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: AK MEDS6555) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2019-04-26 |