| NPI | 1396024949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME142909) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 18428) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 23790) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101271306) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA mt197627) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 83362) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 73752-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-01021) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-42902) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020001525) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 65451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME142909) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: FL ME142909) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME142909) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: SC 83362) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-07-13 |