NPI | 1992906002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME102951) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME102951) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2022-01-28 |