NPI | 1184006017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MA 273559) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 273559) |
Enumeration Date | 2015-06-27 |
Last Update Date | 2022-03-03 |