NPI | 1942524806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX Q3439) |
Additional Taxonomies | 174400000X Specialist (Licence: TX Q3439) |
207L00000X Anesthesiology (Licence: TX Q3439) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q3439) | |
Enumeration Date | 2010-03-22 |
Last Update Date | 2021-06-15 |