| NPI | 1184940405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 62209) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MS 28229) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MS 28229) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 62209) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2024-02-05 |