NPI | 1861572653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME44332) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME44332) |
208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME44332) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2016-06-09 |