| NPI | 1427092212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01035248A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01035248) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01035248A) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-06-05 |