NPI | 1447331756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C10002617) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C10002617) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2008-04-30 |