| NPI | 1003892035 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01071189A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036102418) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01071189A) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2025-01-31 |