| NPI | 1720304207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A131225) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA 131225) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A131225) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: FL ME146163) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL 120906) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME120906) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A131225) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME120906) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME146163) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2021-10-01 |