NPI | 1427204478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C31290) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA C31290) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2022-10-06 |