| NPI | 1043833841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 20A20323) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A20323) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20323) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2026-04-13 |