| NPI | 1386800266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q2301) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX Q2301) |
| 208M00000X Hospitalist (Licence: TX Q2301) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX Q2301) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-02-08 |