NPI | 1457813867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 4474) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA 4474) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-03 |
Last Update Date | 2023-06-19 |