NPI | 1841470176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TN 3424) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102204152) |
Enumeration Date | 2007-11-03 |
Last Update Date | 2024-02-05 |