NPI | 1437149242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A86830) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A86830) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2017-11-16 |