| NPI | 1659572337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD427554) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: PA MD427554) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: PA MD427554) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-01-18 |