| NPI | 1497382220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A178290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A178290) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-09-26 |