| NPI | 1568423580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 68471) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 74521) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 74521) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-02-02 |