| NPI | 1699983577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A87925) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A87925) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A87925) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A87925) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-04-11 |