NPI | 1063437879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G85434) |
Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA G85434) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-01-16 |