| NPI | 1104878982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01042621A) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01042621A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-12-13 |