| NPI | 1104029164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 16741) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036120927) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2010009152) | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine (Licence: NV 16741) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036120927) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: NV 16741) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-11-17 |