| NPI | 1801207014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA a176800) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A176800) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MI 4301116655) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NY 29176701) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A176800) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 291767-01) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 291767-01) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301116655) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A176800) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-09-27 |