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 |