NPI | 1912181389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.097615) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD036595) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 097615) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35.097615) | |
Enumeration Date | 2007-12-20 |
Last Update Date | 2012-01-28 |