| NPI | 1134122914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: IN 01059304A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01059304A) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-02-25 |