| NPI | 1164650461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01077832A) |
| Additional Taxonomies | 208VP0000X (Licence: MD D0077042) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DC MD043623) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101255306) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01077832A) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2025-11-18 |