NPI | 1154818201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NY 314569-01) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA 173897) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-15 |
Last Update Date | 2023-11-01 |