NPI | 1225457336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 72002) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX U0584) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-07-21 |