| NPI | 1457354433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01040711A) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01040711A) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-02-07 |