| NPI | 1497937890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01065991A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01065991A) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-05-12 |