| NPI | 1619060589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AR E-7025) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH 13076) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX M6833) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MO 2008015437) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME107678) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-05-14 |