| NPI | 1376751321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A133381) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01068365A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101247258) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 43362) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A13381) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 43362) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-07-13 |