| NPI | 1811044282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL MD.29617) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 35.057402) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD034146E) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01052338A) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME 100056) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MO MD R8G18) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2014-07-27 |