NPI | 1487898938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A124459) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A124459) |
207Q00000X Family Medicine (Licence: CA A124459) | |
Enumeration Date | 2009-04-28 |
Last Update Date | 2023-04-26 |