| NPI | 1376073486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 57872) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 57872) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-07-07 |