| NPI | 1407063449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01065958A) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: IN 01065958A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01065958A) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-10-11 |