| NPI | 1386844868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A94916) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a94916) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A94916) | |
| 207T00000X Neurological Surgery (Licence: CA A94916) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-12-19 |