NPI | 1346457751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: TX Q1450) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.089741) |
2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: OH 35.089741) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: TX Q1450) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-09-14 |