| NPI | 1114046455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01071908A) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IN 01071908A) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01071908A) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-08-01 |