| NPI | 1346223823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A71470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A71470) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A71470) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: CA A71470) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2023-01-20 |