NPI | 1942837026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1018167) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 346295) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 346295) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: LA 346295) | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2025-10-01 |