| NPI | 1407128069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01041042A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01041042A) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01041042A) | |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2012-01-29 |