| NPI | 1386910172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS13734) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL OS13734) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 008845) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 2539) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY C0012) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H86432) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34-011097) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 110594) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T6510) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 3349) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102205271) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MD H86432) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 4202) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS13734) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 34-011097) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-10-10 |