NPI | 1215126792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: IN 01053430A) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01053430A) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |