| NPI | 1316086606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 53986) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN MD53986) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 049851) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-04-03 |