| NPI | 1275093387 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01093640A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01093640A) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-11-22 |