| NPI | 1215963202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01025676A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036097585) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01025676A) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-11-11 |