NPI | 1942861638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX T0993) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T0993) |
207P00000X Emergency Medicine (Licence: TX T0993) | |
Enumeration Date | 2019-06-24 |
Last Update Date | 2025-08-14 |