| NPI | 1154325959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01055762a) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 0000059431) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 37465) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2021-02-24 |