| NPI | 1205845252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01048532A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01048532) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01048532A) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-10-25 |