| 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 |