NPI | 1962433508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA GA 036773) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA GA036773) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2023-12-29 |