| NPI | 1053579151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01065791A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01065791A) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-07-28 |