NPI | 1013444512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS17981) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS17981) |
Enumeration Date | 2017-05-15 |
Last Update Date | 2024-01-24 |