| NPI | 1114313087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A134887) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A134887) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA A134887) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A134887) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A134887) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A134887) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A134887) | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: CA A134887) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A134887) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A134887) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-07-22 |