NPI | 1982738944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301090851) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301090851) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2015-07-01 |