| NPI | 1285790147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01047322A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01047322A) |
| 207P00000X Emergency Medicine (Licence: IL 036-067712) | |
| 207Q00000X Family Medicine (Licence: IN 01047322A) | |
| 208D00000X General Practice (Licence: IN 01047322A) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-03-23 |