NPI | 1881153724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MD H0100665) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MD H0100665) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-06-28 |