| NPI | 1750343760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA C51093) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C51093) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C51093) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-01-22 |