NPI | 1912985813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX G9451) |
Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX G9451) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2020-11-13 |