NPI | 1144293143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2007-01623) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2007-01623) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2023-03-07 |