NPI | 1457337818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 23057) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 23057) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2015-11-17 |