| NPI | 1437257912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A55954) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A55954) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A55954) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-06-13 |