NPI | 1497924864 |
---|---|
Other Name | MAX MORADIAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A118692) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD442485) |
208100000X Physical Medicine & Rehabilitation (Licence: LA MD202793) | |
Enumeration Date | 2008-02-29 |
Last Update Date | 2021-04-13 |