NPI | 1467672485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA C159408) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD D77403) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D77403) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2018-12-12 |