NPI | 1225692874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A176390) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A176390) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2023-11-03 |