NPI | 1336133289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01068862A) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.087875) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35.087875) | |
Enumeration Date | 2005-09-07 |
Last Update Date | 2022-01-20 |