| NPI | 1356535884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01070774A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01070774A) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2024-05-08 |