| NPI | 1518084854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A83585) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: CA A83585) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A83585) | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A83585) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A83585) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: CA A83585) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: CA A83585) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: CA A83585) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-12-12 |