NPI | 1316971880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD61185856) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 30343) |
2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036-143847) | |
103G00000X Clinical Neuropsychologist (Licence: WA MD61185856) | |
208VP0014X Pain Medicine Interventional Pain Medicine (Licence: WA MD61185856) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101280393) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-12-01 |