| NPI | 1588836274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A108851) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A108851) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A08851) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CA A108851) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2016-07-24 |