| NPI | 1427030956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01079428A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO R8N65) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01079428A) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO R8N65) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-08-29 |