NPI | 1316114119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A121056) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IL 036-130915) |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NY 260245-1) | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2023-11-27 |