NPI | 1740210426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: NC 200000774) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 200000774) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2023-07-31 |