| NPI | 1619939246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 286498) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NE 25588) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036115263) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NE 25588) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NE 25588) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036115263) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 35120229) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35120229) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35120229) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 286498) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-02-10 |