| NPI | 1356393219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 1029835) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01029835) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-07-21 |