| NPI | 1073512588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01056351A) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01056351A) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01056351A) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2025-01-06 |