| NPI | 1205151750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: ME MD27104) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME 118705) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME118705) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2024-05-28 |