| NPI | 1952580904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A112854) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35-090502) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: OH 35-090502) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35090502) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A112854) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35090502) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35090502) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2018-07-16 |