| NPI | 1457349722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01053504A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01053504A) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 22779) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 06295R) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME90486) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: HI 8073) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2018-10-29 |