NPI | 1467423939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01039946A) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01039946A) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01039946A) | |
Enumeration Date | 2006-01-31 |
Last Update Date | 2024-02-05 |