| NPI | 1255580593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: IN 01080614A) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: IL 036.147496) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MI 4301099722) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2018-10-31 |