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 |