NPI | 1992294474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 322747) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 322747) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2024-02-15 |