| NPI | 1891877130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA 11430R) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 11430R) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-03-25 |