| NPI | 1053526285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A91430) |
| Additional Taxonomies | 2081H0002X (Licence: CA A91430) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-04-03 |